| NPI | 1750620514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT005520) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017473) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2024-07-02 |